HomeMy WebLinkAbout902 W DRAKE RD - APPLICATIONS - 4/24/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
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281 N College Ave • Fort Collins, CO 80522-0580 • Phone 970-221-6760
www fcgov com/budding
BUILDING PERMIT APPLICATI
APPLICATION NUMBER
Job Site Address C/ 01
APPLICATION
Unit #
12) 4
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # Ci 7C/
Last name
of-eik-e— First Name ��. f ra �G dle Esr�.
Street Address a0.2- w . Dl/' t ke Rd City f=-A' CO l d State-C-ozip�>> ls:�-2-6
CONTRACTOR INFO Company Name , for Phone # g �a � 1 C
Lic Holder Name City of Fort Collins License #Supervisor Cert #
Mailing Address r - CityT State �(/ ip �f
LEGAL INFO
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including basement) f 0 Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft CF # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning Yes No Energy info ( Circle appropriate choice ) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck w/Blower Door 4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
Water Tap Size Sewer Tap Size
List appropriate option #s
Metered Yes or No Temp Pedestal Yes or No
Type of Heat ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑cc150 Amp or Less ❑ 200 Amp [:]Other
Value of Construction (including labor material & profit) $ 3� Ci0-= _ r - 46'
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical
Framer
Solar
Mechanical
Roofing
Other
Concrete
Other
Gin 303 -3,
Plumbing
Fireplace _
Other
Applicant I hereby acknowledge that I ha v read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of _ Ilin rdin a and state laws regulating building construction
Applicant Signature rant Name / ,ru, i a,0 (fir rsP�-� Phone
Distribution White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City Of Planning, Development and Transportation
Fort Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970 221-6760 phone 970 224 6134 fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number B 1' 0265 3
Job Site Address
New Building
Addition
Building owneri"GG�___
Building owner address
Remodel/TF
1
2WMER
Building owner phone # 9 %
Name of Business -
Proposed Use (i a medical, office, bank, retail, etc) Fe 7,q!
Project square footage 12/- C5
For commercial remodels £t tenant finishes, please answer the following questions
A Is the remodel/tenant finishes for 7!5=
answer)
existing tenant or
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or( CO>
➢ If not the initial tenant fppr this unit wh
Space? Ltgr,O.--- SYnrG' — )�-G y
the previous use of this tenant
v
➢ Are there any exterior building changes associated with the work? Yes or
If yes, please describe
A/C
%n ureo applicant
4ece
& (
Name (please print)
-3-1k
Date
30 3 - 3�-3
Local daytime phone #